Individual
KYLE KOTHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 S RIVER ST, AURORA, IL 60506-5185
(630) 844-2662
Mailing address
219 WILLIAMSBURG CT, MONTGOMERY, IL 60538-3010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
07/16/2025
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